Investigators are evaluating an EHR-based, non-interruptive alert to increase NRT prescribing in the hospital and at discharge for hospitalized patients. Investigators will investigate two randomized groups of resident physicians to evaluate their prescribing behaviors when the tool is introduced.
Efforts to decrease cancer-related morbidity and mortality include increasing smoking cessation, however smoking remains prevalent. Classically, alerts within the electronic health record (EHR) are implemented to address gaps in care, yet studies suggest typical EHR alerts are often overridden and ignored. In this study, the investigators aim to decrease the incidence and burden of disease by including hospitalists as part of the multidisciplinary care team by implementing and evaluating a novel non-interruptive EHR alert embedded within a provider note as a tool to increase prescription of nicotine replacement therapy to patients who smoke upon admission to and discharge from the hospital. Investigators will investigate two randomized groups of resident physicians to evaluate their prescribing behaviors when the tool is introduced.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
220
EHR embedded alert into the admission note template, where it automatically inserts smoking history, prompts NRT prescribing in the hospital, and offers referral to outpatient follow up.
Medical University of South Carolina
Charleston, South Carolina, United States
Nicotine Replacement Therapy (NRT) prescribing rates during hospitalization
Time frame: During hospitalization, assessed from admission to discharge (average of 3-7 days)
Nicotine Replacement Therapy (NRT) prescribing rates at discharge
Time frame: During hospitalization, assessed from admission to discharge (average of 3-7 days)
Rate of referral to outpatient tobacco cessation clinic
Time frame: During hospitalization, assessed from admission to discharge (average of 3-7 days)
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